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Home My WebLink AboutPermit Mechanical 2008-10-16 Status Issued ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01539 ISSUED: 10/16/2008 APPLIED: ' 10/16/2008 EXPIRES: 04/16/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax Ii 541-726-3769 Inspection Line , , SITE ADDRESS: 1385'OKSANNA ST " ASSESSOR'S PARCEL NO.: 1703342201900 II Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: REPLACE H/P Owner: HOLLOTER 'GENE C & VIRGINIA Address: 13850KSANNA SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License A:SSOCIATED HEATING & AIR CONDITIO 106275 '. BUILDING INFORMATION) Expiration Date 08/31/2010 Phone' 541-683-2590 # of Units: Primary Occupancy Grouf!: Secondary Occupancy Group: Primary ConstruCtion Typ~ Secondary Construction Type: # of Bedrooms: Ii # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a e I DEVELOPMENT INFORMATION' Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: . I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Description '(vv8Z-Z88-00B- ~ SI Jaluao 'aOIl:l3d AVa Og~ ANV UO!IBO!)IION Al!Illn u05aJO a41 JO) mqwnu ION ~~jl~~~duS'H~vl:l~b~~~~;~~~~' f I .(q:~~I~;~~I;)~~~I~;~~;~I~I~;~~~~~;;:~~OO , ". I~ IOn -~OO-ZS6l:JI;/O 45noJ41 O~OO- ~OO-ZS6l:JI;/O UI }ll:lOM 3Hl:lI 3l:lldX3 119 n;, .m,d~o ""'L 4110) las am salnJ as041 'JalUao UO!IBO!!!lON Type of Construction $ Per S.q ~OIlON Squa.re FootageAI!llln U05E\liilu141 Aq pe\cUaTii G'aJBlih\'tililO) or mulhpher or Bid Amount 01 noA SaJlnbaJ Mel uo5aJO :NOIIN3111;/ . Notes: Page 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01539 ISSUED: 10/16/2008 APPLIED: 10/16/2008 EXPIRES: 04/16/2009 VALUE: 'I I, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax " 541-726-3769 Inspection Line II Total Value of Project Fee~ P~id I Fee Description :1 ~Mechallicallssuance Fee::- + 10% Administrative Fee' + 12% State Surcliarge il + 5% Technology Fee Heat Pump Minimum/Adjustment Me'chanical ,I Amount Paid Date Paid Receipt Number $21.00 $5.20 $6.24 $2.60 $15.00 $37.00 10/1 6/08 10/16/08 10/16/08 I 0/16108 10/16/08 10/16/08 220080000U000001517 2200800000000001517 2200800000000001517 2200800000000001517 2200800000000001517 2200800000000001517 Total Amount ~aid $87.04 I Plan Reviews I Ji " To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 ~, a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following I work day. J Reollired Insoections I Rough Mechanical: Ii Prior to Cover ~ - Final Mechanical: When all mechanical work is complete. " . By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City il of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Commnnity Services Division, Building Safety. I further certify that only ~~ntractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure th'at all required inspections are requested at the proper time, that each address is readable from the street, that the permit canil is located at the front of the. property, and the approved set of plans will remain on the site at all times during construction. " . O,-vner or Contractors Signature Date Page 2 of2 City of Springfield Mechanical Authorization To Begiu Work E-mailedTo:associatedheating@gmail.com Receipt # EC54011 R 10/16/200811:2U:27 AM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.ns 10 New construction o Addition/alteration/replacement II ,".', I Des.cription Qty. '"" Ea. Total I':' '-"., '......",",., I Furnace- up to 100,000 BTU I Furnace - above 100,000 8TU I Electric Furnace Duct alterations and additions Gas heater units/ iiFwal1, in~ ducL susnended, cle/ I Vent, Ilue, liner for <lbove I Air Conditioner I Heat Pump I Air Handler .. IlXIl or 2 family dwelling o Multi-family JI D Accessol)' Building I I I I 1 1 $]5001 1 I Job no.: 3489 IJob lllld~ess: 1385 OKSANNA ST ICily/State/ZIP: SPRINGFIELD, OR 97477-354] I Suitc/bldg./apt.no.: I Project nllme: Cross street/direcfio~s to job site: $]5.00 I Name: GeneHolloter I Phone: (541)74]-3516 I Email: IFa" I Water heater I Gas fireplace/insert/stove I Gas ]og! log iightcr I Gas clothes dryer I Gas slovelrange I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace Chimney/]inerlflue/vent w/o a liance .Envjronnrenti1ffcxhausf~\'D;vcritil:itiOli~'" ' ~ . 'C.' "c" .".",,,~,,"""'. ":':,..''''01'.'' ,....c~c...~.~,. tc'"'.",,..c=.... _c.:!:. I Range hood I Clothes dryer exhaust I Single-duct exhaust (bathrooms, toilet compartments, utility rooms) I Atticlcrawlspace.fans I Subdivision: ITax map/parcel no.: 1703342201900 ILot no.: . Replace H/P I CCB lie. no.: 106275 I Business Name: ASSOCIATED HE~TING & AIR COND'rrIONI I Contact: Brandy Forsman IAddress: PO BOX 412 ;1 1 Cit}'/St~lle/ZIP: EUGENE, OR 97449 I Phone: (541 )6832590 II I Fax: (541 )6070287 I..:mail: associatedhcllting@gmaiLco~ I Metro lie. no.: I City lie. no.: II Upon review and approval by ~~ur local jurisdiction, your permit will be e-mailed or faxe~ within one business day, with instructions on how to scliedule your inspection. , . I uplO firsl4 outlels(enlerQty=l) Subtotal I $15,00 I Minimuni. fee used instead of Sub tot a] $52.00 I Slate Surcharge (12% of penn it fee), $6.24 I City Of Springfield fees * I $28.80 I I TOTAL PERMIT "'[E. $87.04 I . City Of Springfield fees: I 0% Adminisl~ation Fce; 5% Technology Fee NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained,. The local building department ~ay determine that an Authorization To Begin Work is' null and void if it does not meet applicable land use laws and local ordinances. , . . COM:i1l.~ - ()\c:,~q RCPT #: J;:};-)C(::J6 - \ Q \ "I . DATE PROCESSED:lliL\ \ Q\ D~ PROCESSED BY: k. Qj) 9 ~ " This Authorization To Begin Work must be posted at the job site until replaced by a Permit. I', . e . 225 F.ifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number" COM2008-0 1539 COM2008-01539 COM2008-0 1539 COM2008-01539 COM2008-01539 COM2008-0 1539 Payments: Type of Payment ONLINE CHGS cReceintl i! IU;cEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000001517 Date: 10/16/2008 1:30:03PM Descript:ion Heat ~ump MininiumiAdjustment Mechanical 'I ~Mechanical Issuance.Fee- Jf + 5% Technology Fee '[ + 12% State Surcharge " + 10% Administrative Fee !I Paid By !I ONLINE PERMIT CHGS ,I Amount Due 15eOO 37.00 21.00 2.60 6.24 5.20 $87.U4 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KR ONLINE ASSOC1AT Online ED HEATING &AIR Payment Total: $87.04 $87.04 Page 1 of 1 1 OIJ 6/2008